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Commentary
Patient safety and the problem of many hands.
March 30, 2016
Dixon-Woods M, Pronovost P. BMJ Qual Saf. 2016;25(7):485-488.
Although individual and organizational accountability are important elements of safety, they can also hinder system-wide improvement. This commentary discusses challenges to coordinating actions and accountability among and throughout the various components in health care, such as hospitals, governmental agencies, insurers, and accreditors. To achieve improvements, the authors propose that health care needs to establish a collective responsibility to develop collaborative solutions that balance global standards with local interventions.
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